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Healthcare Plan Information

2023 Plan Information for District of Columbia

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Location Specific Rates

Contract Enrollment Code Enrollment Type Option/Enrollment Type Payment Period Employee Payment
Aetna Direct 224 Non-Postal HDHP Self Monthly 269.92
Aetna Direct 225 Non-Postal HDHP Self & Family Monthly 511.92
Aetna Direct 226 Non-Postal HDHP Self Plus One Monthly 586.26
Aetna Direct N61 Non-Postal CDHP Self Monthly 160.35
Aetna Direct N62 Non-Postal CDHP Self & Family Monthly 404.39
Aetna Direct N63 Non-Postal CDHP Self Plus One Monthly 351.67
Aetna Direct Z24 Non-Postal Advantage Self Monthly 125
Aetna Direct Z25 Non-Postal Advantage Self & Family Monthly 331.25
Aetna Direct Z26 Non-Postal Advantage Self Plus One Monthly 275
Aetna HealthFund CDHP and Aetna Value Plan F51 Non-Postal CDHP Self Monthly 415.48
Aetna HealthFund CDHP and Aetna Value Plan F52 Non-Postal CDHP Self & Family Monthly 905.69
Aetna HealthFund CDHP and Aetna Value Plan F53 Non-Postal CDHP Self Plus One Monthly 993.87
Aetna HealthFund CDHP and Aetna Value Plan F54 Non-Postal Value Self Monthly 445.55
Aetna HealthFund CDHP and Aetna Value Plan F55 Non-Postal Value Self & Family Monthly 984.15
Aetna HealthFund CDHP and Aetna Value Plan F56 Non-Postal Value Self Plus One Monthly 1049.12
Aetna Open Access JN1 Non-Postal High Self Monthly 766.11
Aetna Open Access JN2 Non-Postal High Self & Family Monthly 1662.66
Aetna Open Access JN3 Non-Postal High Self Plus One Monthly 1743.34
Aetna Open Access JN4 Non-Postal Basic Self Monthly 208
Aetna Open Access JN5 Non-Postal Basic Self & Family Monthly 440.95
Aetna Open Access JN6 Non-Postal Basic Self Plus One Monthly 405.21
Aetna Open Access QQ4 Non-Postal Saver Self Monthly 153.39
Aetna Open Access QQ5 Non-Postal Saver Self & Family Monthly 351.05
Aetna Open Access QQ6 Non-Postal Saver Self Plus One Monthly 322.36
CareFirst BlueChoice 2G4 Non-Postal Standard Self Monthly 460.54
CareFirst BlueChoice 2G5 Non-Postal Standard Self & Family Monthly 1106.56
CareFirst BlueChoice 2G6 Non-Postal Standard Self Plus One Monthly 832.11
CareFirst BlueChoice B61 Non-Postal HDHP Self Monthly 172.97
CareFirst BlueChoice B62 Non-Postal HDHP Self & Family Monthly 410.99
CareFirst BlueChoice B63 Non-Postal HDHP Self Plus One Monthly 345.96
CareFirst BlueChoice B64 Non-Postal Blue Value Plus Self Monthly 197.1
CareFirst BlueChoice B65 Non-Postal Blue Value Plus Self & Family Monthly 480.61
CareFirst BlueChoice B66 Non-Postal Blue Value Plus Self Plus One Monthly 379.92
Kaiser Permanente - Mid-Atlantic States E31 Non-Postal High Self Monthly 228.17
Kaiser Permanente - Mid-Atlantic States E32 Non-Postal High Self & Family Monthly 494.29
Kaiser Permanente - Mid-Atlantic States E33 Non-Postal High Self Plus One Monthly 604.57
Kaiser Permanente - Mid-Atlantic States E34 Non-Postal Standard Self Monthly 158.82
Kaiser Permanente - Mid-Atlantic States E35 Non-Postal Standard Self & Family Monthly 365.27
Kaiser Permanente - Mid-Atlantic States E36 Non-Postal Standard Self Plus One Monthly 365.27
Kaiser Permanente - Mid-Atlantic States T71 Non-Postal Prosper Self Monthly 94.93
Kaiser Permanente - Mid-Atlantic States T72 Non-Postal Prosper Self & Family Monthly 267.08
Kaiser Permanente - Mid-Atlantic States T73 Non-Postal Prosper Self Plus One Monthly 226.79
M.D. IPA JP1 Non-Postal High Self Monthly 503.05
M.D. IPA JP2 Non-Postal High Self & Family Monthly 1663.7
M.D. IPA JP3 Non-Postal High Self Plus One Monthly 866.99
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V41 Non-Postal HDHP Self Monthly 166.3
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V42 Non-Postal HDHP Self & Family Monthly 382.46
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) V43 Non-Postal HDHP Self Plus One Monthly 357.53
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR1 Non-Postal High Self Monthly 345.28
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR2 Non-Postal High Self & Family Monthly 827.19
UnitedHealthcare Insurance Company, Inc. (Choice Open Access) LR3 Non-Postal High Self Plus One Monthly 737.71
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L91 Non-Postal Value Self Monthly 174.25
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L92 Non-Postal Value Self & Family Monthly 418.2
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced) L93 Non-Postal Value Self Plus One Monthly 370.29
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS1 Non-Postal High Self Monthly 177.95
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS2 Non-Postal High Self & Family Monthly 420.84
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary AS3 Non-Postal High Self Plus One Monthly 382.58
UnitedHealthcare Insurance Company, Inc. Choice Primary Y81 Non-Postal High Self Monthly 168.85
UnitedHealthcare Insurance Company, Inc. Choice Primary Y82 Non-Postal High Self & Family Monthly 399.34
UnitedHealthcare Insurance Company, Inc. Choice Primary Y83 Non-Postal High Self Plus One Monthly 363.03
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